Organization
MIDTOWN SPECIALTY RX
Active
Other names
MIDTOWN SPECIALTY RX
Organization subpart
No
Provider details
NPI number
Authorized official
SHAMIKA MADISON (OWNER)
(713) 874-9190
Entity
Organization
Contact information
Practice address
1701 WEBSTER ST STE D, HOUSTON, TX 77003-5800
(713) 874-9190
(713) 874-9197
Mailing address
1701 WEBSTER ST STE D, HOUSTON, TX 77003-5800
Taxonomy
Speciality
Code
Description
License number
State
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5902487
NCPDP PROVIDER IDENTIFICATION NUMBER
—
Enumeration date
02/10/2011
Last updated
02/10/2011
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